Technology for Behavioral Change in Rural Older Adults with Obesity
Technology for Behavioral Change in Rural Older Adults with Obesity
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DOI：
10.1080/21551197.2019.1600097
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发表时间：
2019-04-03
影响因子：
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通讯作者：
Carpenter-Song, Elizabeth
中科院分区：
文献类型：
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作者：
Batsis, John A.;Naslund, John A.;Carpenter-Song, Elizabeth
背景资料：移动的保健技术包括一项多学科治疗战略，为克服在农村地区成功提供健康促进干预措施的挑战提供了潜在的解决方案。我们评估了在高风险人群中使用技术的潜力。研究方法：我们进行了一项收敛，平行混合方法的研究，采用半结构化访谈，焦点小组和自我报告的问卷调查，使用有目的的抽样29名老年人，4个社区领导人和7名临床医生在农村环境。我们开发了主题分析的代码，并使用描述性统计评估了定量数据。结果：所有人群均表示移动健康能够改善健康行为。老年人乐观地认为mHealth可以跟踪健康状况。参与者认为，他们可以提高病人对健康的洞察力，激励改变和确保问责制。会上介绍了使用技术的障碍，包括基础设施。结论：患有肥胖症的农村老年人对使用移动医疗技术改善其健康状况表示兴奋，但实施障碍仍然存在。
Background: Mobile health (mHealth) technologies comprise a multidisciplinary treatment strategy providing potential solutions for overcoming challenges of successfully delivering health promotion interventions in rural areas. We evaluated the potential of using technology in a high-risk population. Methods: We conducted a convergent, parallel mixed-methods study using semi-structured interviews, focus groups, and self-reported questionnaires, using purposive sampling of 29 older adults, 4 community leaders and 7 clinicians in a rural setting. We developed codes informed by thematic analysis and assessed the quantitative data using descriptive statistics. Results: All groups expressed that mHealth could improve health behaviors. Older adults were optimistic that mHealth could track health. Participants believed they could improve patient insight into health, motivating change and assuring accountability. Barriers to using technology were described, including infrastructure. Conclusions: Older rural adults with obesity expressed excitement about the use of mHealth technologies to improve their health, yet barriers to implementation exist.